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VIRGINIA CHILD NEUROLOGY PC NPI 1184786428


NPI Information

NPI: 1184786428
Provider Name: VIRGINIA CHILD NEUROLOGY PC

Former Legal Business Name: AKA CHILDRENS NEUROLOGICAL SERVICES

Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
5875 BREMO RD
SUITE 700
RICHMOND, VA
ZIP 23226
Phone: (804) 673-9600
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VIRGINIA CHILD NEUROLOGY PC is a neurodevelopmental disabilities pediatrics in Richmond, VA. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. VIRGINIA CHILD NEUROLOGY PC NPI is 1184786428. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Aka Childrens Neurological Services.

The provider's business location address is:

5875 BREMO RD
SUITE 700
RICHMOND, VA
ZIP 23226
Phone: (804) 673-9600
Fax: (804) 673-8021

The provider's authorized official is Ronald D David .
The authorized official title is MEDICAL DOCTOR OWNEROwner and has the following contact phone number (804) 673-9600.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0008XPediatricsNeurodevelopmental Disabilities0101016858VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16131875MEDICAIDVIRGINIA
2012886OTHERVIRGINIAANTHEM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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